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Parto inducido por embarazo prolongado Induced delivery in prolonged gestation

Authors: Mercedes Peña Abraham; Claribel Hernàndez Roque; Fermín Luis Martìnez; Hedí Llobany Gonzàlez Ungo;

Parto inducido por embarazo prolongado Induced delivery in prolonged gestation

Abstract

Se realizó un estudio retrospectivo, descriptivo, explicativo y longitudinal sobre el comportamiento de la inducción del parto por embarazo prolongado en el Hospital Gineco-Obstétrico "Justo Legón Padilla", en el período comprendido entre enero del 2004 y diciembre del 2005.El universo estuvo constituido por la totalidad de los nacimientos por embarazo prolongado que se produjeron en el período, donde el grupo estudio estaba exclusivamente formado por las gestantes con trabajo de parto inducido (n=104); se estudiaron variables de la madre, del nacimiento y del producto de la concepción y a los datos obtenidos se les aplicó porcentaje. La edad materna más frecuente fue la del grupo de 20 - 35 años (65,5%); predominaron las nulíparas (40,4%), la vía del parto que predominó fue la transpelviana (42,3%); todos con un índice de Bishop >7 puntos La causa más frecuente de cesárea fue el sufrimiento fetal agudo (23%); el embarazo prolongado no constituyó una causa importante de Apgar Bajo, en el parto distócico fue donde ocurrió el mayor número de morbilidad materna y neonatal (9,5%), no se encontró valor significativo en la macrosomía fetal y predominó el sexo femenino en los recién nacidos (65,3%).A retrospective, descriptive, explicative and longitudinal study about the behavior of the induction of labor in prolonged pregnancy was conducted at "Justo Legón Padilla" Gyneco-Obstetric Hospital during the period of January 2004 to December 2005. The whole sample was constituted by the totality of births in prolongad pregnancy during the period where the study group was exclusively formed by pregnants who underwent induced labor (n = 104).Variables of mother, birth and conception product were taken, and percentage method was applied to data collected. The group of most frequent maternal age was 20 - 35 (65,5%), prevailing nulliparous (40,4%) and transpelvic labor (42,3%), having a Bishop index = 7. The most frequent cause of cesarean section was fetal distress (23%), prolonged pregnancy was not an important cause of low Apgar score. Dystocic labor presented the greatest figures of neonatal and maternal morbidity (9,5%), no significative value of fetal macrosomia was found, predominating female sex in new born (65,3%).

Keywords

Medicine (General), R5-920, PARTO INDUCIDO, R, PROLONGED PREGNANCY, Medicine, INDUCED LABOR, EMBARAZO PROLONGADO

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold